DIVYA REDDY PEDDIREDDY D.D.S NPI 1356782080

NPI Information

  • NPI: 1356782080
  • Provider Name: DIVYA REDDY PEDDIREDDY, D.D.S
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3070 BRISTOL ST STE 180
    COSTA MESA, CA
    ZIP 92626
  • Phone: (714) 924-4824

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NPI Details

Divya Reddy Peddireddy, D.D.S is an oral and maxillofacial surgery dentist in Costa Mesa, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Divya Reddy Peddireddy, D.D.S NPI is 1356782080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3070 BRISTOL ST STE 180
COSTA MESA, CA
ZIP 92626-072
Phone: (714) 924-4824

The NPI 1356782080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/10/2013 and was last updated on 2/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDDS62530CALIFORNIANo
21223S0112XDentistOral and Maxillofacial SurgeryDDS62530CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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